Subclinical cardiovascular disease and utility of coronary artery calcium score

Saydam, Cihan Durmuş

doi:10.1016/j.ijcha.2021.100909

Cited by 4 publications

(3 citation statements)

References 226 publications

(224 reference statements)

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“…Coronary artery calcium is increased in individuals with high BP, predicts the risk of new-onset hypertension, and is also a predictor of CV events in patients with and without hypertension [247,248]. Coronary artery calcium scans have been proposed as a tool to refine quantification of CV risk, particularly CAD events, in patients with hypertension, and to better gauge who may benefit from early initiation of BP medications [249,250]. The effect of antihypertensive treatment on this marker of CV risk is not yet known.…”

Section: Computed Tomography Of the Heartmentioning

confidence: 99%

2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension

Chairperson

Co-Chair

Brunström

et al. 2023

Journal of Hypertension

487

280

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Document Reviewers: Luis Alcocer (Mexico), Christina Antza (Greece), Mustafa Arici (Turkey), Eduardo Barbosa (Brazil), Adel Berbari (Lebanon), Luís Bronze (Portugal), John Chalmers (Australia), Tine De Backer (Belgium), Alejandro de la Sierra (Spain), Kyriakos Dimitriadis (Greece), Dorota Drozdz (Poland), Béatrice Duly-Bouhanick (France), Brent M. Egan (USA), Serap Erdine (Turkey), Claudio Ferri (Italy), Slavomira Filipova (Slovak Republic), Anthony Heagerty (UK), Michael Hecht Olsen (Denmark), Dagmara Hering (Poland), Sang Hyun Ihm (South Korea), Uday Jadhav (India), Manolis Kallistratos (Greece), Kazuomi Kario (Japan), Vasilios Kotsis (Greece), Adi Leiba (Israel), Patricio López-Jaramillo (Colombia), Hans-Peter Marti (Norway), Terry McCormack (UK), Paolo Mulatero (Italy), Dike B. Ojji (Nigeria), Sungha Park (South Korea), Priit Pauklin (Estonia), Sabine Perl (Austria), Arman Postadzhian (Bulgaria), Aleksander Prejbisz (Poland), Venkata Ram (India), Ramiro Sanchez (Argentina), Markus Schlaich (Australia), Alta Schutte (Australia), Cristina Sierra (Spain), Sekib Sokolovic (Bosnia and Herzegovina), Jonas Spaak (Sweden), Dimitrios Terentes-Printzios (Greece), Bruno Trimarco (Italy), Thomas Unger (The Netherlands), Bert-Jan van den Born (The Netherlands), Anna Vachulova (Slovak Republic), Agostino Virdis (Italy), Jiguang Wang (China), Ulrich Wenzel (Germany), Paul Whelton (USA), Jiri Widimsky (Czech Republic), Jacek Wolf (Poland), Grégoire Wuerzner (Switzerland), Eugene Yang (USA), Yuqing Zhang (China).

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Section: Computed Tomography Of the Heartmentioning

confidence: 99%

2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension

Chairperson

Co-Chair

Brunström

et al. 2023

Journal of Hypertension

487

280

View full text Add to dashboard Cite

show abstract

“…Although CAC score has a high prognostic ability, its interpretation can be challenging due to different ways of expressing and stratifying patients' risk [ 10 , 11 ]. CAC score can be commonly expressed using two classifications: absolute scores, based on the exact amount of CAC score measured in Agatston units, and percentile-based rank scores, based on the percentile rank of CAC score stratified by the patient's sex, age, and/or race [ [12] , [13] , [14] ].…”

Section: Introductionmentioning

confidence: 99%

Coronary artery calcium (CAC) score for cardiovascular risk stratification in a Thai clinical cohort: A comparison of absolute scores and age-sex-specific percentiles

Kitjanukit,

Kuanprasert,

Suwannasom

et al. 2024

Heliyon

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“…Moreover, studies have a rmed that the CAC score not only surpasses conventional methods as a standalone predictor, but also enhances the discriminative ability of other traditional scores in predicting cardiovascular risk [8,9] Although the CAC score has a high prognostic ability, its interpretation can be challenging due to different ways of expressing and stratifying patients' risk [10][11]. CAC scores can be expressed as absolute scores, based on the exact amount of CAC score measured in Agatston units, or percentile-based rank scores, based on the percentile rank of CAC score strati ed by the patient's sex, age, and/or race [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Coronary Artery Calcium (CAC) Score for Cardiovascular Risk Stratification in a Thai Clinical Cohort: A Comparison of Absolute Scores and Age-Sex Specific Percentiles

Kitjanukit,

wongyikul,

Kuanprasert

et al. 2023

Preprint

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Purpose This study aims to examine the prevalence and CAC distribution and to evaluate the association of each CAC classifications with major adverse cardiovascular event (MACE). Method This study was a retrospective observational cohort. We included patient aged above 35 years who underwent CAC testing. The absolute and age-sex specific percentile classification were categorized as 0, 1 to 10, 11 to 100, 101 to 400, and > 400 and 0, < 75th, 75th – 90th, and > 90th, respectively. The end point was MACE, including cardiovascular death, myocardial infarction, heart failure hospitalization, coronary artery revascularization procedures, and stroke. Multivariable Cox regression was used to estimate the hazard ratios. The discriminative performance between classification were compared using Harrell’s C-statistic. The agreement was assessed via Cohens’ Kappa. Result The study included 440 patients, with approximately 70% of Thai patients exhibiting a CAC score. CAC distributed higher in male than female and older than younger. Both CAC classification demonstrated the acceptable predictive performance. However, fair agreement was observed between classifications (Cohen’s kappa 0.51 95%CI 0.42–0.59). Within an absolute classification, the higher CAC could capture the higher hazard ratio more consistently across age-sex specific percentile level. In contrast, the association between MACE and the age-sex specific percentile classification was not consistent in all levels of the absolute CAC scale. Conclusion Both absolute and age-sex-specific percentile CAC scores showed acceptable performance in predicting MACE. However, it is likely that the classification of absolute CAC scores may be more appropriate for risk stratification in Thai clinical cohort.

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Subclinical cardiovascular disease and utility of coronary artery calcium score

Cited by 4 publications

References 226 publications

2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension

2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension

Coronary artery calcium (CAC) score for cardiovascular risk stratification in a Thai clinical cohort: A comparison of absolute scores and age-sex-specific percentiles

Coronary Artery Calcium (CAC) Score for Cardiovascular Risk Stratification in a Thai Clinical Cohort: A Comparison of Absolute Scores and Age-Sex Specific Percentiles

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